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Active NPI 1538988829 Individual Practitioner Female Practitioner

Tedra Ann Lawrence , APRN

Nurse Practitioner • Mount Vernon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tedra Lawrence, APRN is a certified Nurse Practitioner practicing in Mount Vernon, IL. With approximately 2 years of clinical experience since completing medical education in 2024, Tedra Lawrence delivers high-quality medical care to the local community at 209 CROSSROADS PL STE 120.

Tedra Lawrence is affiliated with Deaconess Illinois Specialty Clinic, Inc. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

209 Crossroads Pl Ste 120

Mount Vernon, IL 628646545

Telephone 6189186045
Fax 6189186046

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mount Vernon, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -4.7 yrs vs City Avg
City Avg: 6.7 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
23 Specialists

Practicing in Mount Vernon, IL (4929 Statewide)

Telehealth Adoption Rate
8.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lawrence (2 Years) 2 Yrs
Mount Vernon Specialty Average (6.7 Years) 6.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-12-05
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209030718

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Deaconess Illinois Specialty Clinic, Inc.

209 Crossroads Pl, Mount Vernon, IL 628646545

Phone: 6182441937

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Janelle Kirby , FNP-C

Nurse Practitioner - Family

NPI 1942854526

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 04, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2024

Registered at 209 CROSSROADS PL STE 120, MOUNT VERNON, IL 628646545 (Tel: 6189186045)

📍
Updated Business Mailing Address October 04, 2024

Registered at 209 CROSSROADS PL STE 120, MOUNT VERNON, IL 628646545 (Tel: 6189186045)

👤
Provider Name / Credentials Updated October 04, 2024

Recorded as TEDRA LAWRENCE, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2024

Nurse Practitioner (License #209030718 in IL)

🟢
Initial NPI Registration & Enumeration October 04, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538988829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2024
Last Update: December 17, 2024
Sole Proprietor: No

Mailing Address

209 Crossroads Pl Ste 120

Mount Vernon, IL 628646545

Phone: 6189186045

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.